Individual
MRS. TIANNA ANNMARIE PARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1000 W BUCHANAN ST, CLARKSVILLE, AR 72830
(479) 754-6210
Mailing address
2333 DURANGO DR, VAN BUREN, AR 72956
(479) 208-1941
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A1351
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225906721
—
AR
Enumeration date
03/28/2018
Last updated
08/13/2021
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